Allowances for Tenant-Furnished Utilities and Other Services

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1 Allowances for Tenant-Furnished Utilities and Other Services Locality: Housing Authorities of the City & County of Fresno, CA Date (mm/dd/yyyy): Utility or Service: 0 BR 1 BR 2 BR 3 BR 4 BR 5 BR Monthly Dollar Allowances Natural Gas (PG&E) Natural Gas (SoCal Gas) (Includes Monthly Charge) d. Electric Heat Pump e. Oil / Other Natural Gas (avg) Other Electric & Cooling Other Electric (Lights & Appliances) Natural Gas (avg) d. Oil / Other,, Tenant-supplied Appliances Range / Microwave Tenant-supplied Refrigerator Tenant-supplied Other--specify: Monthly Charges U.S. Department of Housing and Urban Development Office of Public and Indian Housing Unit Type: Multi-Family (Apartment) Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family Address of Unit Number of Bedrooms Utility or Service Other Electric Range / Microwave Refrigerator Other Other Total per month cost The Nelrod Company 8/2018 Update Revised 10/2018 adapted from form HUD-52667

2 Allowances for Tenant-Furnished Utilities and Other Services Locality: Housing Authorities of the City & County of Fresno, CA Date (mm/dd/yyyy): Utility or Service: 6 BR 7 BR Monthly Dollar Allowances Natural Gas (PG&E) Natural Gas (SoCal Gas) (Includes Monthly Charge) d. Electric Heat Pump e. Oil / Other Natural Gas (avg) Other Electric & Cooling Other Electric (Lights & Appliances) Natural Gas (avg) d. Oil / Other,, Tenant-supplied Appliances Range / Microwave Tenant-supplied Refrigerator Tenant-supplied Other--specify: Monthly Charges U.S. Department of Housing and Urban Development Office of Public and Indian Housing Unit Type: Multi-Family (Apartment) Actual Family Allowances Utility or Service per month cost To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family Other Electric Address of Unit Range / Microwave Refrigerator Other Number of Bedrooms Other Total The Nelrod Company 8/2018 Update Revised 10/2018 adapted from form HUD-52667

3 Allowances for Tenant-Furnished Utilities and Other Services Locality: Housing Authorities of the City & County of Fresno, CA Date (mm/dd/yyyy): Utility or Service: 0 BR 1 BR 2 BR 3 BR 4 BR 5 BR Monthly Dollar Allowances Natural Gas (PG&E) Natural Gas (SoCal Gas) (Includes Monthly Charge) d. Electric Heat Pump e. Oil / Other Natural Gas (avg) Other Electric & Cooling Other Electric (Lights & Appliances) Natural Gas (avg) d. Oil / Other,, Tenant-supplied Appliances Range / Microwave Tenant-supplied Refrigerator Tenant-supplied Other--specify: Monthly Charges U.S. Department of Housing and Urban Development Office of Public and Indian Housing Unit Type: Single-Family (Detached House) Actual Family Allowances To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family Address of Unit Number of Bedrooms Utility or Service Other Electric Range / Microwave Refrigerator Other Other Total per month cost The Nelrod Company 8/2018 Update Revised 10/2018 adapted from form HUD-52667

4 Allowances for Tenant-Furnished Utilities and Other Services Locality: Housing Authorities of the City & County of Fresno, CA Utility or Service: Date (mm/dd/yyyy): 6 BR 7 BR Monthly Dollar Allowances Natural Gas (PG&E) Natural Gas (SoCal Gas) (Includes Monthly Charge) d. Electric Heat Pump e. Oil / Other Natural Gas (avg) Other Electric & Cooling Other Electric (Lights & Appliances) Natural Gas (avg) d. Oil / Other,, Tenant-supplied Appliances Range / Microwave Tenant-supplied Refrigerator Tenant-supplied Other--specify: Monthly Charges U.S. Department of Housing and Urban Development Office of Public and Indian Housing Unit Type: Single-Family (Detached House) Actual Family Allowances Utility or Service per month cost To be used by the family to compute allowance. Complete below for the actual unit rented. Name of Family Other Electric Address of Unit Range / Microwave Refrigerator Other Number of Bedrooms Other Total The Nelrod Company 8/2018 Update Revised 10/2018 adapted from form HUD-52667

5 Item Hours per Day Wattage Monthly kwh Energy Charge Utility Allowance Oxygen Concentrator Nebulizer Electric Hospital Bed Alternating Pressure Pad Low Air-Loss Mattress Power Wheelchair/Scooter Feeding Tube Pump CPAP Machine Leg Compression Pump Dialysis Machine/Equipment Oxygen Concentrator Use per day varies, assume hours a day. The 5-Liter model uses 400 W, the 3-Liter model uses 320 W. Nebulizer A medicine delivery system used mostly for pediatric care.used 4-6 times a day for 20 minutes at a time at 75W. Semi/Fully Electric Hospital Bed Use depends on adjustments. 200 W. Reasonable Accommodation Medical Equipment Allowances Electric Provider: Pacific Gas & Electric Alternating Pressure Pad An air-filled mattress overlay. Used 24 hours a day for someone who is bed-ridden. Low Air-Loss Mattress Takes the place of mattress - air -filled pressurized mattress.cycles air around every minutes. Power Wheelchairs and Scooters Need to be charged approximately 8 hours every 3 days. Batteries are 120 V, 3 Amp, 360 W. Feeding Tube Pump (Continuous Feed) A pump delivers a constant amount of formula throughout the day or night. CPAP Machine For Sleep Apne Runs only at night for people who have a tendency to stop breathing at night. At maximum pressure use is 40 Watts. On average - 30 Watts Leg Compression Pump Provides intensive compression therapy. Use varies, generally from 8-24 hours daily. Dialysis Machine/Equipment (Small/Portable) Filters a patient's blood to remove excess water and waste products. Used 2 hours daily.

6 Utility Allowance Comparison by Locality Multi-Family LOCALITY WATER GARBAGE SEWER ROUNDED FIGURES 1/1/ BIOLA CARUTHERS CLOVIS COALINGA DEL REY FIREBAUGH FOWLER FRESNO FRIANT HURON KERMAN KINGSBURG LATON MENDOTA ORANGE COVE PARLIER PINEDALE RAISIN CITY REEDLEY RIVERDALE SAN JOAQUIN SANGER SELMA SQUAW VALLEY Utility Allowance Comparison

7 Utility Allowance Comparison by Locality Single-Family LOCALITY WATER GARBAGE SEWER ROUNDED FIGURES 1/1/ BIOLA CARUTHERS CLOVIS COALINGA DEL REY FIREBAUGH FOWLER FRESNO FRIANT HURON KERMAN KINGSBURG LATON MENDOTA ORANGE COVE PARLIER PINEDALE RAISIN CITY REEDLEY RIVERDALE SAN JOAQUIN SANGER SELMA SQUAW VALLEY Utility Allowance Comparison

8 Southern California Gas Fee Southern California Gas Company List of Cities and Communities Served City or Community County Climate Zone Bowles Fresno 2 Burrell Fresno 2 Caruthers Fresno 2 Del Rey Fresno 2 Fowler Fresno 2 Fresno Fresno 2 Huron Fresno 2 Kerman Fresno 2 Kingsburg Fresno 2 Lanare Fresno 2 Laton Fresno 2 Monmouth Fresno 2 Orange Cove Fresno 2 Parlier Fresno 2 Raisin City Fresno 2 Reedley Fresno 2 Riverdale Fresno 2 San Joaquin Fresno 2 Sanger Fresno 2 Selma Fresno 2

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